ATI CAPSTONE MED SURG EXAM QUESTIONS WITH ANSWERS 2023/2024 | LATEST GRADED

A nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer per dose? 4. a nurse is caring for a pt in the ED who was just admitted with chest pain, possible acute coronary syndrome. what should the nurse do first? 5. a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at the bedside. what electrical intervention should be used to correct this dysrhythmia? 6. a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following interventions should the nurse take? 7. a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included? pH below 7.35 HF 30mL administer sublingual nitroglycerin (treat chest pain to reduce cardiac tissue damage) synchronized cardioversion (tx for afib, SVT, and v tach with a pulse) monitor serum albumin levels and notify provider if below 3.5g/dL (lack of protein increases the risk for a delay in wound healing and infection) reduce intake of foods high in potassium 2 / 17 8. a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate for a reading over 200mg/dL before the client's breakfast, what action is the nurse's priority? 9. a nurse is planning care for a pt who has a new diagnosis of DI, which of the following interventions should the nurse include in the plan of care? 10. a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to a newly prescribed medication, what medication should be administered first? (potassium clearance is impaired in ESKD) monitor the client for hypoglycemia check urine specific gravity albuterol 3mL via nebulizer 11. a nurse is caring for a female client in the ED who administer oxygen via reports SOB and pain in the lung area, she states face mask that she started taking BC pills 3 weeks ago and that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the priority of nursing interventions 12. a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the pt is experiencing compartment syndrome? 13. a nurse is administering a tap water enema to a pt who is constipated, during the administration of the enema, the client states he is having abunrelieved pain, pallor, pulselessness, numbness, pins and needles sensation, swelling, tightness of the effected extremity lower the height of the solution container 3 / 17 dominal cramps, what action should the nurse take to relieve the client's comfort 14. a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the nurse take? place the clients bedside table on the right side of the bed 15. a nurse is caring for a pt who is at risk for shock, narrowing pulse preswhat finding is the earliest indicator that this complication is developing? 16. a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding should the nurse expect 17. a nurse is providing teaching for a client who has experienced an acute episode of gastritis, what instruction should the nurse include in the teaching? 18. a nurse at an outpt surgery center is providing discharge teaching to a pt an his spouse following surgical removal of a cataract, what should the nurse include? 19. a nurse is assessing a pt who has a puncture wound on his foot, what is a manifestation of acute osteomylitis? 20. a nurse is monitoring a pt who had a cerebral aneurysm rupture, what finding should the nurse identify as a manifestation of increased intracranial pressure 21. when caring for a pt with a chest tube the nurse notes continuous bubbling in the chest tube water seal chamber, what does this indicate 22. a nurse is an ED is caring for a client who had a seizure and became unresponsive after stating ATI CAPSTONE MED SURG 4 / 17 sure weak, irregular pulse avoid drinking alcohol the client should wear dark glasses while out- doors localized erythema irritability an air leak hemorrhagic stroke ATI CAPSTONE MED SURG 5 / 17 she had a sudden, severe headache, and vomiting, the pts vital signs are as follows: BP 198/110, pulse of 82/min, RR of 24m/min, temp of 100.8F, what neuro disorders should the nurse suspect 23. a nurse is caring for a pt who is 2hr postoperative following a TURP, what assessment should be an indication of a postoperative complication 24. a nurse is caring for a pt who has HIV, what following lab values is the nurse's priority 25. a nurse is teaching a pt who has GERD about managing his illness, what recommendations should the nurse include in the teaching 26. a nurse is a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension, the nurse notes that the potassium level is 3.3, the nurse should monitor for the complication of 27. a nurse is caring for a pt with who has hepatitis A, the pt asks the nurse how he might have contracted virus, which of the following a question the nurse should ask the client? 28. a nurse is preparing a pt for a radiation treatment who is postop following a mastectomy, the nurse should inform the pt to expect what adverse effect from the treatment? 29. a nurse is in a burn tx center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy, the client's spouse asks the nurse what the output of burgundy colored urine CD4 T cell count 180 cells/mm3 (severely immunocompromised and at high risk of infection) avoid eating within 3 hours of bedtime cardiac dysrhythmias have you been to a third world country in the past fatigue large incisions will be made in the eschar to improve circulation ATI CAPSTONE MED SURG 6 / 17 procedure entails, which of the following statements made by the nurse is appropriate 30. a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect 31. a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the nurse should expect the pt to report what manifestation 32. a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as the disease progresses, what would she include? 33. a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter reading appears, the nurse should instruct the pt to take which of the following actions 34. a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are experiencing the crisis 35. a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume oral intake, what item should the nurse offer the pt 36. a nurse is providing education to a pt who is scheduled for a barium swallow, what statement indicates understanding of the teaching? 37. a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to the pt following the procedure the pt reports tingling and burning sensation in one foot